title: [Observation on the clinical efficacy of shoulder pain in post-stroke shoulder-hand syndrome treated with floating acupuncture and rehabilitation training].
abstract: OBJECTIVE
  To compare the efficacy difference in the treatment of shoulder pain in post-stroke shoulder-hand syndrome among floating acupuncture, oral administration of western medicine and local fumigation of Chinese herbs.
  
  
  METHODS
  Ninety cases of post-stroke shoulder-hand syndrome (stage I) were randomized into a floating acupuncture group, a western medicine group and a local Chinese herbs fumigation group, 30 cases in each one. In the floating acupuncture group, two obvious tender points were detected on the shoulder and the site 80-100 mm inferior to each tender point was taken as the inserting point and stimulated with floating needling technique. In the western medicine group, mobic 7.5 mg was prescribed for oral administration. In the local Chinese herbs fumigation group, the formula for activating blood circulation and relaxing tendon was used for local fumigation. All the patients in three groups received rehabilitation training. The floating acupuncture, oral administration of western medicine, local Chinese herbs fumigation and rehabilitation training were given once a day respectively in corresponding group and the cases were observed for 1 month. The visual analogue scale (VAS) and Takagishi shoulder joint function assessment were adopted to evaluate the dynamic change of the patients with shoulder pain before and after treatment in three groups. The modified Barthel index was used to evaluate the dynamic change of daily life activity of the patients in three groups.
  
  
  RESULTS
  With floating acupuncture, shoulder pain was relieved and the daily life activity was improved in the patients with post-stroke shoulder-hand syndrome, which was superior to the oral administration of western medicine and local Chinese herbs fumigation (P < 0.01). With local Chinese herbs fumigation, the improvement of shoulder pain was superior to the oral administration of western medicine. The difference in the improvement of daily life activity was not significant statistically between the local Chinese herbs fumigation and oral administration of western medicine, the efficacy was similar between these two therapies (P > 0.05).
  
  
  CONCLUSIONS
  The floating acupuncture relieves shoulder pain of the patients with post-stroke shoulder-hand syndrome promptly and effectively, and the effects on shoulder pain and the improvements of daily life activity are superior to that of the oral administration of western medicine and local Chinese herbs fumigation.
authors.affiliation: Rehabilitation Department, Tianshan TCM Hospital 0J Changning District, Shanghai 200051, China. wangjun2006tcm@hotmail.com
authors.forename: Jun
authors.initials: J
authors.lastname: Wang
authors.forename: Xiao
authors.initials: X
authors.lastname: Cui
authors.forename: Huan-Huan
authors.initials: HH
authors.lastname: Ni
authors.forename: Chun-Shui
authors.initials: CS
authors.lastname: Huang
authors.forename: Cui-Xia
authors.initials: CX
authors.lastname: Zhou
authors.forename: Ji
authors.initials: J
authors.lastname: Wu
authors.forename: Jun-Chao
authors.initials: JC
authors.lastname: Shi
authors.forename: Yi
authors.initials: Y
authors.lastname: Wu
mesh_terms: D015670:Acupuncture Therapy; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012019:Reflex Sympathetic Dystrophy / Q000209:etiology / Q000534:rehabilitation* / Q000628:therapy*; D020069:Shoulder Pain / Q000209:etiology / Q000534:rehabilitation* / Q000628:therapy*; D020521:Stroke / Q000150:complications*; D016896:Treatment Outcome